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Illinois rates for HCPCS 40650

Repair Lip Full Thickness Vermilion Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.07 / $1,030.72 / $5,091.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$244.33 / $414.54 / $676.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.72 / $2,932.51 / $6,396.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.02 / $654.33 / $1,384.16
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $963.00 / $3,686.00